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A Study of the Quality of Health Care Services in Dhaka City
다카시 보건의료서비수의 질에 관한 연구

DC Field Value Language
dc.contributor.advisor김순은-
dc.contributor.author사미야-
dc.date.accessioned2017-07-19T07:38:38Z-
dc.date.available2017-07-19T07:38:38Z-
dc.date.issued2015-08-
dc.identifier.other000000035804-
dc.identifier.urihttps://hdl.handle.net/10371/130129-
dc.description학위논문 (석사)-- 서울대학교 행정대학원 : 행정학과(행정학 전공), 2015. 8. 김순은.-
dc.description.abstractIn Bangladesh, there are a lot of government and private community hospitals to serve quality health care service to the people. But due to rapid increasing population, it is difficult to ensure quality health care service to the entire community people. It is important to understand how the quality of services provided by private and public hospitals is perceived by the clients. Very little is known about how the customers access health-care service quality or satisfaction and select hospitals to receive health care services in Bangladesh, especially in Dhaka city. Therefore, the present research was conducted to assess the existing health care services of private and public hospitals, to identify why government policies could not improve the quality of health care service of public hospitals and how to improve the quality of health care service. The findings of the research revealed that more than 50% clients were not satisfied with the health policy.











Respondents were more satisfied with the private hospital in terms of behavior of employees (72%), sincerity and willingness of employees (50%), and appearance of the employee (49%) as compared to public hospitals. It also exposed that two-third of respondents were unsatisfied with the physical facilities of the public hospitals. Similarly, one-half of clients (52%) were agreed to pay tips in public hospitals. In this study, it revealed that three-fourth of clients (75%) agreed with the planning, management and monitoring of hospitals, more than two-third (71%) agreed that doctors needed training, almost two-third of clients (62%) were agreed to coordinate between hospital administration and doctors.

The research also identified that the present health care service can be improved by involving investment from rich people and NGOs (68%), modernization of existing hospitals (90%) and involvement of mass media (90%). The present study revealed that there is still a gap between the services of public and private hospitals in case of health care service and existing health care policy undertaken. The findings of the present research will help the government of Bangladesh to amend the existing health policy and it will also help to reduce the gap between the service of public and private hospitals.

Finally, this finings helps the government to improve the health care services in Bangladesh, especially in Dhaka City and ultimately people of Bangladesh will get quality health services.
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dc.description.tableofcontentsAbstract i
List of Abbreviations and Acronyms viii
1. INTRODUCTION 1
1.1 Background of the study 1
1.2 Significance of the Study 3
1.3 Statement of the Problem 4
1.3 The Objectives of Research 5
1.4 Research Questions 6
1.6 Hypothesis of the Research 7
2. REVIEW OF LITERATURES 9
2.1 Overview 9
2.2 Historical perspectives in health care services in Bangladesh 11
2.3 Public health policy principles in Bangladesh 13
2.4 Status of quality of health care service in Bangladesh 16
2.5 Health care service in Bangladesh: way forward 23
3. RESEARCH METHODOLOGY 26
3.1 Geographical Location and Topography of Bangladesh 26
3.2 Location of the study area 26
3.3 Research design 27
3.4 Sampling procedure and sample size 27
3.5 Data collection instruments 28
3.5.1 Questionnaire survey 28
3.5.2 Questionnaire design 28
3.5.3 Secondary research 29
3.6 Processing of data 29
3.7 Statistical Analysis 29
3.8 Method of comparison between public and private hospitals 30
4. RESULTS 32
4.1 General information for the respondents or description of the sample 32
4.2 Existing health policy in Bangladesh 35
4.3 Services of public hospital and private hospitals 36
4.3.1 Behavior and courtesy of employees 36
4.3.2 Sincerity and willingness of personnel 38
4.3.3 Appearances of personnel 40
4.3.4 Physical facilities in public hospitals 42
4.3.5 Unauthorized tips in public hospitals 43
4.4 Administrative situation in health care service 44
4.4.1 Planning, management and monitoring 44
4.4.2 Proper training 45
4.4.3 Coordination and sincerity between administration and doctors 45
4.5 Improvement in health care service 46
4.6 Problems in health care service 47
4.7 Correlation analysis 48
5. DISCUSSION 49
5.1 General information for the respondents 49
5.2 Existing health policy in Bangladesh 49
5.3 Health care services of public hospital and private hospitals 50
5.4 Administrative situation in health care service 53
5.5 Improvement in health care service 55
5.6 Problems in health care service 56
5.7 Correlation among important parameters 59
5.7.1 Health care service in public hospitals 59
5.7.2 Facilities of public hospitals 59
5.7.3 Appearance of public hospitals 59
5.7.4 Behavior of employees in public hospitals 60
5.7.5 Prompt service of public hospitals 60
5.7.6 Equipment of public hospitals 60
5.7.7 Personnel caring of private hospitals 60
5.7.8 Courtesy and behavior of employees of private hospitals 61
5.7.9 Trust and confidence of patients of the employees of private hospitals 61
5.7.10 Willingness of the employees of private hospitals to help the service receivers 61
6. CONCLUSION 63
6.1 Summary 63
6.2 Implication of research findings 65
6.2.1 In case of public hospitals: 66
6.2.2 In case of Private hospitals: 67
6.3 Limitations and scope of the study 68
7. REFERENCES 69
Appendix A 78
Questionnaire: 80
Questionnaire in Bengali Language 88
Appendix B 94
Abstract in Korean 96
Acknowledgement 99
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dc.formatapplication/pdf-
dc.format.extent1614727 bytes-
dc.format.mediumapplication/pdf-
dc.language.isoen-
dc.publisher서울대학교 행정대학원-
dc.subjectHealth care-
dc.subjectprivate and public hospitals-
dc.subjecthealth policy-
dc.subjectemployees in health sectors-
dc.subjectplanning in health services-
dc.subject.ddc350-
dc.titleA Study of the Quality of Health Care Services in Dhaka City-
dc.title.alternative다카시 보건의료서비수의 질에 관한 연구-
dc.typeThesis-
dc.contributor.AlternativeAuthorChoudhury Shamiya Yesmin-
dc.description.degreeMaster-
dc.citation.pages99-
dc.contributor.affiliation행정대학원 행정학과-
dc.date.awarded2015-08-
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Graduate School of Public Administration (행정대학원)Dept. of Public Administration (행정학과)Theses (Master's Degree_행정학과)
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